Hansen Family Hospital is a critical access hospital in Iowa Falls, Iowa. Medicare data lists emergency services. Its official website lists 30 services, specialties and programs. Medicare lists 73 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Does Hansen Family Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hansen Family Hospital. In a medical emergency, call 911.
Where is Hansen Family Hospital?
920 South Oak Street, Iowa Falls, IA 50126, in Hardin County, Iowa.
What is the phone number of Hansen Family Hospital?
(641) 648-4631, as listed by Medicare (CMS).
What is the Medicare star rating of Hansen Family Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
73 doctors and other clinicians list Hansen Family Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 49 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Hansen Family Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
Not reported to Medicare
Deaths within 30 days: heart failure patients
Too few cases to report
Deaths within 30 days: pneumonia patients
15.7%
Deaths within 30 days: COPD patients
Too few cases to report
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
Not reported to Medicare
Readmitted within 30 days: heart attack
Not reported to Medicare
Readmitted within 30 days: heart failure
Too few cases to report
Readmitted within 30 days: pneumonia
16.2%
Readmitted within 30 days: COPD
Too few cases to report
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year)
Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
101 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Hansen Family Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$209.96
$209.96
$67.85 – $216.26
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $144.68
AETNA MCR — AETNA MCR: $27.14
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $216.26
AMERIGROUP MCARE — AMERIGROUP MCARE: $27.68
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $35.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $35.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $130.87
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $144.68
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $176.64
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $27.14
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$286.41
$286.41
$111.30 – $295
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $234.10
AETNA MCR — AETNA MCR: $38.18
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $295
AMERIGROUP MCARE — AMERIGROUP MCARE: $38.94
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $49.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $49.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $214.67
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $234.10
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $287.23
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $38.18
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$414
$414
$151.90 – $426.42
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $317.75
AETNA MCR — AETNA MCR: $48.30
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $426.42
AMERIGROUP MCARE — AMERIGROUP MCARE: $49.27
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $63
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $63
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $292.98
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $317.75
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $393.21
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $48.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$118.32
$118.32
$55.25 – $135.17
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $116.34
AETNA MCR — AETNA MCR: $90.62
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $121.87
AMERIGROUP MCARE — AMERIGROUP MCARE: $92.43
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $118.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $118.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $106.56
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $116.34
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $135.17
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $90.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$163.59
$163.59
$81.15 – $201.21
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $172.06
AETNA MCR — AETNA MCR: $90.62
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $168.50
AMERIGROUP MCARE — AMERIGROUP MCARE: $92.43
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $118.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $118.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $156.52
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $172.06
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $201.21
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $90.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$265.10
$265.10
$104.08 – $222.72
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $191.76
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $105.10
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $191.76
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $222.72
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $104.08
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $161.70
WELLMARK HMO - ALL OTHER PLANS — WELLMARK HMO - ALL OTHER PLANS: $160.30
WELLMARK PPO — WELLMARK PPO: $160.30
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$322.50
$322.50
$125.35 – $270.33
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $232.67
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $126.58
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $232.67
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $270.33
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $125.35
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $195.53
WELLMARK HMO - ALL OTHER PLANS — WELLMARK HMO - ALL OTHER PLANS: $194.10
WELLMARK PPO — WELLMARK PPO: $194.10
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$664
$664
$304.78 – $664
Emergency room visit (moderate): 10 of 16 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $464.80
AETNA MCR — AETNA MCR: $305.44
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $310.75
AMERIGROUP MCARE — AMERIGROUP MCARE: $311.55
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $398.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $398.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $422.44
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $664
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $464.80
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $305.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$98
$98
$64.65 – $165.88
Emergency room visit (moderate): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $126.01
AETNA MCR — AETNA MCR: $64.65
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $100.94
AMERIGROUP MCARE — AMERIGROUP MCARE: $65.94
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $125.94
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $126.01
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $165.88
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $64.65
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $109.91
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $99.96
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,005
$1,005
$461.30 – $1,005
Emergency room visit (moderately high): 10 of 16 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $703.50
AETNA MCR — AETNA MCR: $462.30
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $470.34
AMERIGROUP MCARE — AMERIGROUP MCARE: $471.55
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $603
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $603
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $639.38
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $1,005
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $703.50
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $462.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$68
$68
$69.36 – $281.08
Emergency room visit (moderately high): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $213.05
AETNA MCR — AETNA MCR: $109.91
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $70.04
AMERIGROUP MCARE — AMERIGROUP MCARE: $112.11
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $214.10
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $213.05
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $281.08
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $109.91
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $186.85
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $69.36
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$1,433
$1,433
$657.75 – $1,433
Emergency room visit (high): 10 of 16 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,003.10
AETNA MCR — AETNA MCR: $659.18
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $670.64
AMERIGROUP MCARE — AMERIGROUP MCARE: $672.36
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $859.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $859.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $911.67
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $1,433
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,003.10
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $659.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$103
$103
$105.06 – $405.50
Emergency room visit (high): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $309.32
AETNA MCR — AETNA MCR: $159.83
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $106.09
AMERIGROUP MCARE — AMERIGROUP MCARE: $163.03
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $311.35
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $309.32
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $405.50
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $159.83
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $271.71
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $105.06
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$145.23
$145.23
$65.70 – $145.23
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $101.66
AETNA MCR — AETNA MCR: $66.81
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $67.97
AMERIGROUP MCARE — AMERIGROUP MCARE: $68.14
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $87.14
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $87.14
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $92.40
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $145.23
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $101.66
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $66.81
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$218.36
$218.36
$65.70 – $218.36
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $152.85
AETNA MCR — AETNA MCR: $100.45
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $102.19
AMERIGROUP MCARE — AMERIGROUP MCARE: $102.45
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $131.02
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $131.02
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $138.92
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $218.36
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $152.85
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $100.45
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel
$158.62
$158.62
$65.70 – $158.62
Obstetric blood test panel: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $111.03
AETNA MCR — AETNA MCR: $72.97
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $74.23
AMERIGROUP MCARE — AMERIGROUP MCARE: $74.42
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $95.17
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $95.17
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $100.91
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $158.62
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $111.03
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $72.97
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$267.80
$267.80
$65.70 – $267.80
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $187.46
AETNA MCR — AETNA MCR: $123.19
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $125.33
AMERIGROUP MCARE — AMERIGROUP MCARE: $125.65
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $160.68
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $160.68
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $170.37
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $267.80
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $187.46
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $123.19
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$143.17
$143.17
$65.70 – $143.17
Kidney function panel: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $100.22
AETNA MCR — AETNA MCR: $65.86
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $67
AMERIGROUP MCARE — AMERIGROUP MCARE: $67.18
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $85.90
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $85.90
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $91.08
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $143.17
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $100.22
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $65.86
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$161.71
$161.71
$65.70 – $161.71
Liver function panel: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $113.20
AETNA MCR — AETNA MCR: $74.39
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $75.68
AMERIGROUP MCARE — AMERIGROUP MCARE: $75.87
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $97.03
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $97.03
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $102.88
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $161.71
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $113.20
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $74.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$116.39
$116.39
$27.50 – $116.39
Urine test (automated, with microscope): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $81.47
AETNA MCR — AETNA MCR: $53.54
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $54.47
AMERIGROUP MCARE — AMERIGROUP MCARE: $54.61
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $69.83
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $69.83
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $74.05
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $116.39
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $81.47
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $53.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$58.71
$58.71
$26.95 – $58.71
Urine test (automated, without microscope): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $41.10
AETNA MCR — AETNA MCR: $27.01
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $27.48
AMERIGROUP MCARE — AMERIGROUP MCARE: $27.55
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $35.23
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $35.23
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $37.35
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $58.71
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $41.10
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $27.01
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$154.50
$154.50
$66.47 – $154.50
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $108.15
AETNA MCR — AETNA MCR: $71.07
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $72.31
AMERIGROUP MCARE — AMERIGROUP MCARE: $72.49
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $92.70
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $92.70
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $98.29
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $154.50
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $108.15
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $71.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$144.20
$144.20
$53.48 – $144.20
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $100.94
AETNA MCR — AETNA MCR: $66.33
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $67.49
AMERIGROUP MCARE — AMERIGROUP MCARE: $67.66
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $86.52
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $86.52
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $91.74
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $144.20
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $100.94
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $66.33
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$39.14
$39.14
$17.97 – $39.14
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $27.40
AETNA MCR — AETNA MCR: $18
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $18.32
AMERIGROUP MCARE — AMERIGROUP MCARE: $18.36
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $23.48
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $23.48
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $24.90
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $39.14
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $27.40
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $18
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$85.49
$85.49
$31.32 – $85.49
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $59.84
AETNA MCR — AETNA MCR: $39.33
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $40.01
AMERIGROUP MCARE — AMERIGROUP MCARE: $40.11
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $51.29
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $51.29
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $54.39
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $85.49
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $59.84
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $39.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$99
$99
$31.32 – $99
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $69.30
AETNA MCR — AETNA MCR: $45.54
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $46.33
AMERIGROUP MCARE — AMERIGROUP MCARE: $46.45
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $59.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $59.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $62.98
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $99
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $69.30
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $45.54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$105.06
$105.06
$31.32 – $105.06
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $73.54
AETNA MCR — AETNA MCR: $48.33
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $49.17
AMERIGROUP MCARE — AMERIGROUP MCARE: $49.29
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $63.04
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $63.04
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $66.84
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $105.06
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $73.54
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $48.33
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast
$1,546
$1,546
$709.61 – $1,546
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,082.20
AETNA MCR — AETNA MCR: $711.16
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $723.53
AMERIGROUP MCARE — AMERIGROUP MCARE: $725.38
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $927.60
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $927.60
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $983.57
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $1,546
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,082.20
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $711.16
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$3,834
$3,834
$1,091.76 – $3,834
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $2,683.80
AETNA MCR — AETNA MCR: $1,763.64
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,794.31
AMERIGROUP MCARE — AMERIGROUP MCARE: $1,798.91
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $2,300.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $2,300.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $2,439.19
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $3,834
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $2,683.80
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $1,763.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$267
$267
$111.54 – $267
Chest X-ray, 2 views: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $186.90
AETNA MCR — AETNA MCR: $122.82
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $124.96
AMERIGROUP MCARE — AMERIGROUP MCARE: $125.28
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $160.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $160.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $169.87
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $267
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $186.90
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $122.82
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$400
$400
$111.54 – $400
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $280
AETNA MCR — AETNA MCR: $184
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $187.20
AMERIGROUP MCARE — AMERIGROUP MCARE: $187.68
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $240
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $240
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $254.48
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $400
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $280
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $184
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$2,913
$2,913
$780.81 – $2,913
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $2,039.10
AETNA MCR — AETNA MCR: $1,339.98
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,363.28
AMERIGROUP MCARE — AMERIGROUP MCARE: $1,366.78
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $1,747.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $1,747.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $1,853.25
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $2,913
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $2,039.10
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $1,339.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$1,976
$1,976
$896.94 – $1,976
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,383.20
AETNA MCR — AETNA MCR: $908.96
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $924.77
AMERIGROUP MCARE — AMERIGROUP MCARE: $927.14
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $1,185.60
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $1,185.60
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $1,257.13
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $1,976
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,383.20
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $908.96
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$2,302
$2,302
$780.81 – $2,302
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,611.40
AETNA MCR — AETNA MCR: $1,058.92
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,077.34
AMERIGROUP MCARE — AMERIGROUP MCARE: $1,080.10
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $1,381.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $1,381.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $1,464.53
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $2,302
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,611.40
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $1,058.92
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$2,508
$2,508
$896.94 – $2,508
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,755.60
AETNA MCR — AETNA MCR: $1,153.68
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,173.74
AMERIGROUP MCARE — AMERIGROUP MCARE: $1,176.75
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $1,504.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $1,504.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $1,595.59
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $2,508
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,755.60
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $1,153.68
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$783
$783
$359.40 – $783
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $548.10
AETNA MCR — AETNA MCR: $360.18
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $366.44
AMERIGROUP MCARE — AMERIGROUP MCARE: $367.38
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $469.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $469.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $498.14
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $783
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $548.10
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $360.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$574
$574
$263.47 – $574
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $401.80
AETNA MCR — AETNA MCR: $264.04
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $268.63
AMERIGROUP MCARE — AMERIGROUP MCARE: $269.32
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $344.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $344.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $365.18
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $574
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $401.80
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $264.04
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$456
$456
$209.30 – $456
Transvaginal ultrasound: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $319.20
AETNA MCR — AETNA MCR: $209.76
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $213.41
AMERIGROUP MCARE — AMERIGROUP MCARE: $213.96
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $273.60
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $273.60
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $290.11
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $456
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $319.20
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $209.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$409
$409
$187.73 – $409
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $286.30
AETNA MCR — AETNA MCR: $188.14
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $191.41
AMERIGROUP MCARE — AMERIGROUP MCARE: $191.90
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $245.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $245.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $260.21
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $409
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $286.30
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $188.14
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$506
$506
$213.16 – $506
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $354.20
AETNA MCR — AETNA MCR: $232.76
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $236.81
AMERIGROUP MCARE — AMERIGROUP MCARE: $237.42
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $303.60
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $303.60
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $321.92
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $506
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $354.20
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $232.76
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$502
$502
$213.16 – $502
Screening mammogram, both breasts: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $351.40
AETNA MCR — AETNA MCR: $230.92
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $234.94
AMERIGROUP MCARE — AMERIGROUP MCARE: $235.54
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $301.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $301.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $319.37
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $502
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $351.40
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $230.92
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$35.60
$35.60
$14.20 – $37.09
Electrocardiogram (ECG/EKG) with reading: 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $37.09
AETNA MCR — AETNA MCR: $14.20
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $26.42
AMERIGROUP MCARE — AMERIGROUP MCARE: $14.48
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $20.55
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $37.09
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $34.33
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $14.20
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $24.14
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $26.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)
$3,280
$3,280
$1,505.52 – $3,280
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $2,296
AETNA MCR — AETNA MCR: $1,508.80
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,535.04
AMERIGROUP MCARE — AMERIGROUP MCARE: $1,538.98
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $1,968
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $1,968
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $2,086.74
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $3,280
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $2,296
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $1,508.80
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$112
$112
$51.41 – $178.29
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $78.40
AETNA MCR — AETNA MCR: $51.52
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $52.42
AMERIGROUP MCARE — AMERIGROUP MCARE: $52.55
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $67.20
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $67.20
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $71.25
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $112
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $78.40
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $51.52
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$170
$170
$78.03 – $263.23
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $119
AETNA MCR — AETNA MCR: $78.20
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $79.56
AMERIGROUP MCARE — AMERIGROUP MCARE: $79.76
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $102
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $102
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $108.15
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $170
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $119
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $78.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$255
$255
$117.05 – $263.23
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $178.50
AETNA MCR — AETNA MCR: $117.30
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $119.34
AMERIGROUP MCARE — AMERIGROUP MCARE: $119.65
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $153
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $153
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $162.23
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $255
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $178.50
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $117.30
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$338
$338
$155.14 – $338
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $236.60
AETNA MCR — AETNA MCR: $155.48
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $158.18
AMERIGROUP MCARE — AMERIGROUP MCARE: $158.59
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $202.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $202.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $215.04
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $338
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $236.60
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $155.48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$629
$629
$116.13 – $629
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $440.30
AETNA MCR — AETNA MCR: $289.34
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $294.37
AMERIGROUP MCARE — AMERIGROUP MCARE: $295.13
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $377.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $377.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $400.17
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $629
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $440.30
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $289.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$778
$778
$266.64 – $778
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $544.60
AETNA MCR — AETNA MCR: $357.88
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $364.10
AMERIGROUP MCARE — AMERIGROUP MCARE: $365.04
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $466.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $466.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $494.96
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $778
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $544.60
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $357.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$794
$794
$266.64 – $794
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $555.80
AETNA MCR — AETNA MCR: $365.24
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $371.59
AMERIGROUP MCARE — AMERIGROUP MCARE: $372.54
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $476.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $476.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $505.14
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $794
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $555.80
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $365.24
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes
$830
$830
$266.64 – $830
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $581
AETNA MCR — AETNA MCR: $381.80
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $388.44
AMERIGROUP MCARE — AMERIGROUP MCARE: $389.44
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $498
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $498
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $528.05
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $830
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $581
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $381.80
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes
$871
$871
$266.64 – $871
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $609.70
AETNA MCR — AETNA MCR: $400.66
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $407.63
AMERIGROUP MCARE — AMERIGROUP MCARE: $408.67
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $522.60
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $522.60
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $554.13
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $871
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $609.70
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $400.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy
$758
$758
$159.68 – $758
Group psychotherapy: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $530.60
AETNA MCR — AETNA MCR: $348.68
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $354.74
AMERIGROUP MCARE — AMERIGROUP MCARE: $355.65
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $454.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $454.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $482.24
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $758
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $530.60
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $348.68
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$495
$495
$227.21 – $3,227.76
Removal of breast growth (open surgery): 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $346.50
AETNA MCR — AETNA MCR: $227.70
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $231.66
AMERIGROUP MCARE — AMERIGROUP MCARE: $232.25
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $297
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $297
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $314.92
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $495
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $346.50
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $227.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$928
$928
$102.80 – $955.84
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $387.33
AETNA MCR — AETNA MCR: $102.80
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $955.84
AMERIGROUP MCARE — AMERIGROUP MCARE: $104.86
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $205.91
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $387.33
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $290.12
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $102.80
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $174.76
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $946.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$954.18
$954.18
$115.02 – $982.81
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $437.34
AETNA MCR — AETNA MCR: $115.02
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $982.81
AMERIGROUP MCARE — AMERIGROUP MCARE: $117.32
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $230.39
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $437.34
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $328.88
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $115.02
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $195.53
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $973.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$1,076.25
$1,076.25
$152.60 – $1,108.54
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $582.79
AETNA MCR — AETNA MCR: $152.60
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,108.54
AMERIGROUP MCARE — AMERIGROUP MCARE: $155.65
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $305.66
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $582.79
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $469.51
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $152.60
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $259.42
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $1,097.78
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$1,223.39
$1,223.39
$165.17 – $1,260.09
Colonoscopy with biopsy: 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $634.39
AETNA MCR — AETNA MCR: $165.17
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,260.09
AMERIGROUP MCARE — AMERIGROUP MCARE: $168.47
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $330.84
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $634.39
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $509.37
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $165.17
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $280.79
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $1,247.86
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$1,455.47
$1,455.47
$208.30 – $1,499.13
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $803.47
AETNA MCR — AETNA MCR: $208.30
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,499.13
AMERIGROUP MCARE — AMERIGROUP MCARE: $212.47
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $417.22
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $803.47
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $645.57
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $208.30
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $354.11
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $1,484.58
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$1,107.86
$1,107.86
$152.74 – $1,141.09
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $401.83
AETNA MCR — AETNA MCR: $152.74
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,141.09
AMERIGROUP MCARE — AMERIGROUP MCARE: $155.79
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $288.83
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $401.83
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $432.97
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $152.74
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $259.66
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $1,130.01
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$2,076
$2,076
$561.02 – $2,138.28
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $2,054.01
AETNA MCR — AETNA MCR: $561.02
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $2,138.28
AMERIGROUP MCARE — AMERIGROUP MCARE: $572.24
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $1,123.72
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $2,054.01
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,560.23
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $561.02
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $953.73
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $2,117.52
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$1,180
$1,180
$451.41 – $1,632.78
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $1,632.78
AETNA MCR — AETNA MCR: $451.41
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $1,215.40
AMERIGROUP MCARE — AMERIGROUP MCARE: $460.44
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $904.17
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $1,632.78
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,271.21
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $451.41
IOWA TOTAL CARE EXCH - ALL OTHER PLANS — IOWA TOTAL CARE EXCH - ALL OTHER PLANS: $767.40
IOWA TOTAL CARE MCAID — IOWA TOTAL CARE MCAID: $1,203.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$928
$928
$425.95 – $1,808.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $649.60
AETNA MCR — AETNA MCR: $426.88
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $434.30
AMERIGROUP MCARE — AMERIGROUP MCARE: $435.42
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $556.80
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $556.80
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $590.39
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $928
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $649.60
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $426.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$759
$759
$348.38 – $1,808.15
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
AETNA COMM-ALL OTHER PLANS — AETNA COMM-ALL OTHER PLANS: $531.30
AETNA MCR — AETNA MCR: $349.14
AMERIGROUP MCAID - ALL OTHER PLANS — AMERIGROUP MCAID - ALL OTHER PLANS: $355.21
AMERIGROUP MCARE — AMERIGROUP MCARE: $356.12
CEDAR VALLEY HOSPICE MCAID IP/OP ONLY — CEDAR VALLEY HOSPICE MCAID IP/OP ONLY: $455.40
CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER — CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER: $455.40
CENTIVO HMO - ALL PLANS — CENTIVO HMO - ALL PLANS: $482.88
COVENTRY HMO - ALL PLANS — COVENTRY HMO - ALL PLANS: $759
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $531.30
HUMANA MCARE ADV - ALL PLANS — HUMANA MCARE ADV - ALL PLANS: $349.14
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.